labial adhesions & estrogen cream

My 5 month old was diagnosed as having labial adhesions at her doctor's appointment last week. The pediatrician prescribed Premarin, which is a hormone cream (estrogen). Now my daughter seems to be uncomfortable after I put the cream on her, and she is NOT sleeping well at all. She moves around constantly and wakes up every 60 - 90 minutes all night long. Does anyone else have experience with labial adhesions? Did your daughter have similar side effects? (maybe the sleeping thing has nothing to do with the cream??) I hate to put the cream on her if it's really not necessary but I also don't want the adhesions to close her up completely either. Any feedback is greatly appreciated!!

My triplet daughter had this when she was about 1 1/2. I was changing her diaper one day and it looked like her vagina had healed shut! Freaked me out! We took her immediately to the ER and they explained what it was, which I had never heard of it before that, and explained why it happens. The nurse just popped it back open, which she was not suppose to do! Thankfully, she wasn't harmed with it. She it was popped open we didn't need the cream but we were told about it since it's not unusual for it to occur again, although it never has. The kind that they used had no real side effects, except the fact that if it's used for too long it will stimulate the hormone growth and hair will begin to grow as if it were puberty. If she feels uncomfortable and it's not opening back up yet, I would talk to the doc and try something else or talk about how they can open it up manually because too much yeast can be built up inside if it takes too long to reopen. Definitely talk to your doc.

Karen B
mom to 5 including triplets

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My daughter was diagnosed with labial adhesion at 12 months and was also put on premarin cream. we used the cream for 2 weeks and took her back to the dr but the cream hadnt done anything, she also had no side effects. they then sent us to a CHOP specialist. we took her there a few weeks ago and he said as long as she is peeing and not getting UTI's there is really no reason to worry right now. they do consider unadhering it themselves (ouch!!) but not usually till they are out of diapers, he told us to just have our regular dr keep an eye on it and if she ever stops wetting diapers or getting UTIs to bring her back to him, the specialist told me its really not a big deal, and made me feel much better. if you really are worried about it ask your dr if you could see a urologist, just to ease your mind. The urologist also told me to put vaseline on her at diaper changes and that estrogen creams can cause early development when used too much, and the vaselins does almost the same thing. I hope ive helped yous ome!

I just have to say my daughter is six now and I was just thinking about this last night while trying to go to sleep. (weird):). That being said She also had labial adhesions and the first time our Dr. Just pulled It apart with his hands.Nuff said. The second time with the new peditrician we were given the premarin. It worked great. I don't remember her having any sleep problems following the cream being put on. I used a thin layer putting it on with a Q-tip. I did it this way as it cut down on skin contact for me and was easier to control on her. I'm sure your Dr. told you not to touch it as its absorbed through the skin and will affect your hormones.

I wish you the best of luck with this. It didn't last very long before my daughter was well again. Congratulations on being a mommy. Enjoy every minute!!

My daughter also had the labial adhesion, and they noticed it at her 6 month checkup I think it was. I had never heard of it before until then when the dr. showed me. They also gave her premarin cream, used it for two weeks and it thinned the skin out so much that when i went to have her rechecked the dr slid her finger along the skin putting pressure and it opened her up. Of course I started thinking oh my goodness does my 6 yr old also have this cause she was constantly complaining, they checked and she was fine. I also was told that as long as they are urinating then it's fine, and this is a quite normal thing with little girls and very common. That it can be from also being in a wet diaper too long and it adheres the skin. to make sure when I changed her to check her down there because it can re-adhese, when wiping her make sure i pull back the labia and clean in between and i could add a little vaseline if i felt the need. I am just very careful about cleaning now and don't use the vaseline. She hasn't re-adhesed and seems fine. I never had problems with the sleeping though due to the cream. Perhaps she is getting teeth...my daughter got her first tooth around that time.

Hi Rebecca,
My daughter was diagnosed with labial adhesion at her 6 month well check. Her pediatrician did not do anything, no cream or treatment. She said that it will heal itself and it is best to just leave it alone. I was also recommended to make sure she is not in a wet diaper too long and to keep the area clean and dry. My daughter is now 2 years old and it is opening on its own. It hasn't slowed her down, even with potty training. No need for hormone creams or trying to force it open. Best of luck to you.

Hello! Congratulations on your beautiful little girl! I know she's not a newborn, but 5mos seems so little to me (my little ones are older). My daughter, age 18mos also has labial adhesion - what looked to me to be pretty severe... "is it serious"? I asked our pediatrician about it, Tan and garcia pediatrics, Dr. Archarya, who confirmed that yes, this was an adhesion. She said, unless it is causing urine to become trapped, there is no need for cream (and you can tell by pressing on it, if urine leaks out with pressure, it is an issue). This adhesion is simply caused by the minimal amount of estrogen that your little girl's body is making at this young age. As she gets older, her body should create the balance that she needs, and it will naturally "re-open". We have not put any hormonal creams on our daughter, and there has not been any problem, though I do keep my eye on it, incase there would be any changes. I would say, as long as you see that urine is not getting trapped for her (which i understand might cause infection?), then it is advisable to skip the cream, especially if it is irritating her.

Best wishes to you! Hope this was helpful! :)